NPI 1427069962 · live from the CMS NPI Registry
Eagle Air Med Corporation
Ambulance, Air Transport in Chinle, AZ. National Provider Identifier 1427069962, active.
NPI record
| NPI | 1427069962 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ambulance, Air Transport 3416A0800X |
| Practice location | Chinle Municipal Airport, Chinle, AZ 86503 |
| Practice phone | 801-619-4900 |
| Mailing address | 10888 S 300 W, South Jordan, UT 84095 |
| Enumerated | August 10, 2006 |
| Last updated | September 26, 2018 |
| Authorized official | Eric Thomas, Svp Of Revenue Management |
| Other names | Eagle Air Med |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulance, Land Transport | 3416L0300X | 06-0007 (AZ) |
| Ambulance, Land Transport | 3416L0300X | — |
| Ambulance, Air Transport | 3416A0800X | Air (AZ) |
| Ambulance, Air Transport primary | 3416A0800X | — (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.